Female

Dr. Larisa M. Traill M.D.

General Acute Care Hospital in Detroit, MI(View on Map)

Full Name

Dr. Larisa May Traill M.D.

NPI Number

1184826083

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/03/2007

Specialties

(Taxonomies)

Code

282N00000X
207P00000X

Primary Taxonomy

Yes
No

Licenses

State

Michigan

License Number

4301086621

Contact
Information

Purpose

Mailing
Location

Address

22844 RENFORD ST
6071 W OUTER DR

City

Novi
Detroit

State

MI
MI

Postal Code

48375-4529
48235-2624

Country

US
US

Telephone Number

(347) 426-6610
(313) 745-3000

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/09/2010

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